1245207034 NPI number — JOSEPH F BACAK III M.D.

Table of content: JOSEPH F BACAK III M.D. (NPI 1245207034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245207034 NPI number — JOSEPH F BACAK III M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BACAK
Provider First Name:
JOSEPH
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245207034
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 OSTRUM ST
Provider Second Line Business Mailing Address:
SUITE 404
Provider Business Mailing Address City Name:
FOUNTAIN HILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18015-1155
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-865-3250
Provider Business Mailing Address Fax Number:
610-865-1438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 OSTRUM ST
Provider Second Line Business Practice Location Address:
SUITE 404
Provider Business Practice Location Address City Name:
FOUNTAIN HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18015-1155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-865-3250
Provider Business Practice Location Address Fax Number:
610-865-1438
Provider Enumeration Date:
03/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD018234E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03181000 . This is a "BLUE CROSS PROVIDER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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